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General NPI Number Information
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NPI Number | 1952701336
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Entity Type | Individual
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Provider Name | VENESSA A COAKE FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/04/2014
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 2600 RESEARCH CENTER DR STE A
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City | BLACKSBURG
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State | VA
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Zip | 24060-6325
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Country | US
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Telephone | 540-381-5291
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Fax | 540-381-7857
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Provider Business Mailing Address
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Address Line | 4942 E LEE HWY
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City | MAX MEADOWS
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State | VA
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Zip | 24360-3428
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 139063
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024172413
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License Number State | VA
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